Case #2

Question 1

Child bringing knees up to chest is a classic sign of…

Answer 1

Appendicitis

Question 2

Vasodilator used to treat preecclampsia?

Answer 2

Magnesium Sulfate

Question 3

Breathing problems after birth is a common sign of…

Answer 3

Sepsis

Question 4

What does an APGAR test measure?

Answer 4

Average health of a newborn and improvement over early intervals

Question 5

Normal # of diapers/day?

Answer 5

6-10

Question 6

Sign of pyloric stenosis?

Answer 6

Hard, Olive on palpation

Question 7

Startle Reflex?

Answer 7

Quickly lower baby, arms/legs out

Question 8

What does a Guiac test look for?

Answer 8

Blood (often used for stool)

Question 9

What is seborrhea?

Answer 9

Baby dandruff

Question 10

A solid DD has…

Answer 10

Working Diagnosis
2-4 Common Ones that could be an atypical presentation
Don’t Miss Diagnoses
Diagnoses associated with standout features of history

Question 11

Ex. Don’t miss diagnoses of Case #2

Answer 11

Strep septicemia
Leukemia
Bowel Obstruction

Question 12

T or F – Disease presentation typically matches textbook description.

Answer 12

False

Question 13

Double bubble on x-ray associated with…

Answer 13

Volvulus

Question 14

Signs of intussception?

Answer 14

Jelly stools
Sausage shaped mass
US – coiled spring/bulls eye

Question 15

Should a child prone to reflux sleep prone?

Answer 15

No. Increased risk of SIDS.

Question 16

Most common food related allergen in young children?

Answer 16

Milk Protein

Approx. 2.5%

Question 17

Long term result in most cases of CMA?

Answer 17

Tolerance

Question 18

Source of Milk Allergy?

Answer 18

Casein and Whey

Question 19

Manifestations of Milk Allergy

Answer 19

IgE mediated reactions such as anaphylaxis

Atopic Dermatitis

Question 20

What is atopic dermatitis?

Answer 20

Eczema
Chronic, Inflammatory Skin Condition
Infantile stage – Pruritic, red, scaly lesions

Question 21

Signs of erythema toxicum neonatuorum.

Answer 21

Trunks, extremities – Not palms and soles

Red maccules with central whitish-yellow pinpoint papules

Question 22

Inheritance pattern of lactose intolerance?

Answer 22

Autosomal recessive

Question 23

Rome criteria for Colic?

Answer 23

Birth-4 months
Irratilbilty/fussiness without obvious cause
>3 hrs./day, 3 days/week, more than 1 week
Absence of failure to thrive

Question 24

What is failure to thrive?

Answer 24

Insufficient weight gain

Question 25

A baby should only have milk until...

Answer 25

4-6 months old

Question 26

Why don't you give a colic baby a motion sickness medication?

Answer 26

Can cause stop in breathing, seizures, or coma

Question 27

Herbal remedies for Colic?

Answer 27

Chamomile, Fennel Seed, Balm-Mint | Gripe Water

Question 28

What is Shaken Baby Syndrome?

Answer 28

``` #1 cause of child abuse death Causes Death or Brain Damage ```

Question 29

Most common form of abuse in the US?

Answer 29

Tap water Burns

Question 30

What happens if you decide not to report child abuse

Answer 30

Class B Misdemeanor | Malpractice

Question 31

What is the newborn Red Reflex?

Answer 31

Hold opthalmoscope to examiner's eye, a foot from subject Symmetrical red should be seen in both eyes If asymetrical, blunted, or white, send child to opthamolagist

Question 32

How long should the startle reflex last?

Answer 32

Not past 3-4 months

Question 33

Major hypertensive disorder of pregnancy?

Answer 33

Preeclampsia

Question 34

Two characteristics impt. for preeclampsia diagnosis?

Answer 34

New onset hypertension | Proteiuria

Question 35

Preecclampsia increases risk for...

Answer 35

Placental abruption Acute renal failure Cerebral hemorrhage Hapatic Failure

Question 36

What do you do for severe preeclampsia

Answer 36

Delivery regardless of gestational age | Seizure Prophylaxis

Question 37

Antibiotic strategy for pregnancy with group B strepto?

Answer 37

IV antibiotics DURING labor

Question 38

Neonate -- early Onset GBS

Answer 38

Pneumonia, Sepsis, Meningitis | 20% preterm mortality

Question 39

Neonate -- Late onset GBS

Answer 39

4-5 weeks bacteremia without focus or meningitis 5% preterm mortality